erectile dysfunction and depression

Erectile Dysfunction and Depression: Often Coexist but Can be Overcome

Depression and erectile dysfunction are widespread conditions nowadays. Moreover, they often coexist. A patient then faces a doubled formidable problem which seems to be hard for overcoming. But one shouldn’t fall into desperation, there is a way out.

Depression – a Modern-Day Scourge

According to the study by Jinghui Wang, Xiaohang Wu et al. (BMJ Open. 2017), the prevalence of depression and depressive symptoms amongst outpatients in different specialties was in a range of between 17 and 50%. Their presence is more widespread in developing countries than in developed ones. Along with anxiety disorders depression is one of the most dominant mental illnesses. It may lead to disability, worsening of personal and social relationship. When it coexists with other diseases, it may complicate the treatment process.

The most common psychical manifestations and physical symptoms of the condition include:

  • persistent sadness
  • impaired self-esteem
  • hopelessness
  • pessimistic outlook
  • no desire to do everyday activities
  • appetite changes
  • apathy
  • problems with falling asleep and/or sleeping
  • fatigue

Depression should be diagnosed by psychotherapists. There are no reliable medical tests (like blood testing or X-rays) which can precisely indicate its presence. There are two widely accepted ways of combating depression: using medications and  talk therapy. However, some pharmaceuticals may lead to ED or worsen it, so be careful in choosing the right remedy.

Erectile Dysfunction (ED) and Its Causes

The erect penile organ has always been a symbol of sexual prowess, so any problems with achieving and/or maintaining an erection may be perceived as a personal tragedy.

Erectile dysfunction is a multidimensional disorder which may have different causes (organic, psychogenic, and mixed). Organic causes, in their turn, are divided into endocrine and nonendocrine (Faysal A. Yafi et al., Nat Rev Dis Primers, 2017). Nonendocrine ones are the most common, they include abnormalities of blood flow, medical treatment, and physical damage caused by surgery. Endocrine causes are associated with decreased testosterone levels; however, the exact mechanisms have not been completely revealed.

depression and ed

It should be borne in mind that ED might be a predictor of cardiovascular events. That’s why it is important to conduct a completed diagnosis once a patient notices first warning symptoms.

An interesting tidbit: too frequent watching of adult entertainment videos (pornography) may cause symptoms of ED when it comes to real sex with a partner. Studies have shown that some males over 40 need to watch more and more extreme videos with time to achieve successful erection. Along with this, they experience erection troubles with their partners. Thankfully, the problem can be easily eliminated, a man just needs to refuse to watch porn for several weeks in order to put the normal sexual performance back the way it was meant to be.

Correlation Between ED and Depression

Males suffering from erectile dysfunction often feel anger, sadness, lowered self-esteem, etc. If the condition is left untreated (or treatment doesn’t provide desired help), depression may develop. Vice versa, a depressive disorder may develop first, and ED accompanies it some time after. This may be associated with declining in testosterone production caused by the so-called “bad stress” (while “good stress” boosts synthesis of “T hormone”). According to estimates by some researchers, about 13-20% of men with ED also have anxiety or depression.

Read a closely related topic by Canadian Health Care Mall specialists: Viagra and Antidepressant-Associated Erection Problems

How to Deal with these Problems Simultaneously?

The most important thing is that antidepressants may worsen erection problems. It has been proven that anti-depression pharmaceuticals are often a cause of impotence or its deterioration.

treat depression and ed

There are two possible scenarios.

  • The first one: a male had depression and was prescribed antidepressants which led to ED. Probable solutions: (1) cancel antidepressants’ administration under a doctor’s guidance, apply for a psychotherapy or use another alternative method of therapy; (2) continue therapy with antidepressants in the same or decreased dosages and receive an anti-ED treatment like Viagra (less preferred option), cancel their intake if possible or switch to another medicine for treating depression (preferable options). Selective serotonin reuptake inhibitors are a group of antidepressants that are linked to sexual problems.
  • The second one: a man developed erection disorder. Amidst it, a depressive condition appeared. In this case, prescription of meds for treating depression might lead to exacerbation of ED. The solution is to treat impotence ASAP and consult a sexologist or psychotherapist.

Remember: both depression and ED are treatable. If you encounter one of these problems or both, don’t despair. There are many options that can help you with both mental issues and ED.

viagra heart disease

Viagra-Like Drugs for Heart Attack: Could They Reverse Cardiovascular Events?

Viagra is a very popular drug with those who suffer from erection problems. Numerous research papers prove that Viagra is a powerful remedy for combatting erectile dysfunction. But the capabilities of the drug are not limited to this function. It can be also a great option for treating various diseases, in particular, heart failure, which is a very dangerous condition.

Viagra-Like Drugs and Heart Failure Treatment

Scientists have recently revealed that drugs, usually taken in case of problems with erection, are also effectual for treatment and prevention of heart failure. Among them is Viagra-like drug tadalafil. People, who face this heart disease, have a poor heart muscle, which fails to pump blood properly. Consequently, organs and tissues don’t get enough oxygen to maintain vital functions. According to The Centers for Disease Control and Prevention (CDC) approximately 6 million of American adults are diagnosed this condition. Half of them live fewer than 5 years after learning the doctor’s verdict.

viagra heart disease

Prof. Trafford together with his team conducted a study, aimed at revealing the properties of tadalafil. This drug belongs to the same category as Viagra (brand name of sildenafil) and is marketed as Cialis. The experiment was made on sheep, which were given tadalafil for removing symptoms of heart failure. Humans usually take tadalafil to escape from problems with erection. The 3 week research showed the significant improvement of the state of animals’ hearts. This drug contributed to the enhancement of the contraction of the heart as well as restoration of the organ’s reaction to the hormone, called epinephrine. Poor response to it leads to the heart failure. Professor claims, that the effect, experienced by the animals, will be the same in people. He adds that individuals, who take tadalafil for treating bad erection, unwittingly help their heart to opposite negative impact of ageing, bad habits and unfavorable conditions.

Another remedy, which is also probably good in dealing with heart conditions, is Viagra (sildenafil). It’s a revolutionary product, which helped millions of males to combat sexual dysfunction. Like tadalafil Viagra only theoretically can be beneficial for treating heart failure. As there is no clear scientific research in this respect further studies are required.

The main question is whether it’s safe to take Viagra if the patient has heart disease.

Some doctors insist that Viagra shouldn’t be taken by individuals with heart disease of certain type. It can cause dangerous outcomes.

You might be interested in: Diabetes and Heart Disease – Is There an Interconnection?

Side Effects of Viagra and ED Treatment

viagra heart side effects

There are certain side effects of sildenafil. Firstly, it can potentially minimize the pressure of the blood. Secondly, the interaction with nitrates is observed. Being a vasodilator, which dilates vessels, sildenafil puts down systolic pressure of the blood. Such vasodilating influence is hazardous in combination with the nitrates’ vasodilating effect. Nitrates are commonly prescribed to patients, who have problems with coronary artery. Those, who simultaneously take these two drugs, are at risk of getting strong hypotension and syncope. Therefore, sildenafil is prohibited to be taken together with nitrates (nitroglycerine such as Nitrolingual, Nitro-Dur patches, etc.).

On the other hand, sildenafil is tolerated quite well in males, suffering from coronary artery condition, if they don’t have severe ischemia and don’t take nitrates.

As sildenafil may contribute to the blood pressure drop, it may be dangerous for individuals with constant hypotension.

cvd and diabetes

Diabetes and Heart Disease – Is There an Interconnection?

Cardiovascular diseases (CVD) is the leading cause of death in the world. Diabetes is also in the top 10 causes of death. Therefore, these diseases require prevention and careful monitoring in case of detection. There is scientific evidence that these two groups of diseases are interrelated, which on the one hand worsens the situation, but on the other hand makes it possible to use the same methods of prevention.

Diabetes and Cardiovascular Diseases:

Diabetes is a chronic disease. Patients with this disease cannot produce insulin or use existing insulin. Insulin is a hormone that is synthesized by the pancreas. It is necessary for the transfer of glucose from the blood into the cells of the body, which due to it receive energy. If glucose is incorrectly transferred and not absorbed by the cells, blood sugar increases, resulting in a number of harmful effects.

Despite the fact that diabetes is actually an incurable disease, living with it can be bearable.

CVD is a complex concept that reflects many diseases of the heart and blood vessels. According to the classification of the World Health Organization, this group includes the following diseases:

  • hypertension (high blood pressure);
  • ischemic heart disease (chronic – periodic angina attacks, acute – myocardial infarction);
  • stroke (a circulatory disorder in the brain);
  • peripheral vascular diseases (reduction or blockage of limb vessels);
  • heart failure (decompensated myocardial dysfunction);
  • rheumatic heart disease;
  • congenital heart defects (eg, hypoplasia, ventricular septal defect, tetralogy of Fallot, transposition of the great vessels, and Ebstein’s anomaly);
  • cardiomyopathy (damage to the heart muscle of unknown etiology).
diabetes and heart disease

Diabetes and Cardiovascular Illnesses: a Correlation

According to “A Statement for Healthcare Professionals From the American Heart Association” (by Scott M. Grundy , Ivor J. Benjamin et al, 1999), there is a scientific rationale to classify diabetes as a major risk factor for cardiovascular diseases. Moreover, from the point of view of medicine it can be treated as this type of disease. Turning back to its role as a risky factor, the doctors noted that diabetes contributes to the development of atherosclerotic coronary heart disease (CHD) due to chronic hyperglycemia. Then, mortality from stroke increases almost three-fold in comparison with patients who don’t suffer from diabetes. Also, persons with type II diabetes often have insulin resistance. This condition was linked to the risks of diabetes occurrence. Moreover, high blood sugar level is known to be damaging for vessels.

Vice versa, CVD may contribute to the worsening of diabetes. For instance, hypertension plays in favor of diabetic neuropathy, a nerve damage that affects a range of nerves in the bodies of some diabetics.

In addition, several predisposing factors are common for these dangerous illnesses. These include the following ones:

  • obesity (overweight);
  • physical inactivity (sedentary lifestyle);
  • hereditary factors;
  • sex (gender);
  • advancing age.
diabetes diet

How to Prevent Diabetes and Cardiovascular Diseases?

Well, there is a firmly established interconnection between diabetes mellitus and heart diseases. This means that methods of their prophylaxis may be similar or even identical. Let’s analyze recommendations provided by healthcare professionals:

  • reduce the consumption of sugary products (sweets, jellies, cakes, donuts, etc.);
  • reduce consumption of products made from white processed flour (white pasta, white bread, breakfast cereals);
  • create a healthy diet that includes fruit and vegetables (at least 400 g) per day;
  • try to eat at approximately regular intervals to avoid overeating;
  • go in for sports (join a gym, go to the swimming pool), or at least do simple physical exercises, and walk more;
  • if you are overweight, lose weight (it is better to do it slowly, losing about 2 pounds a week, rapid slimming may be non-safe);
  • give up bad habits (smoking, excessive alcohol consumption);
  • monitor your blood cholesterol level by taking blood tests regularly.

Any disease is easier to prevent than to cure. Therefore, a healthy lifestyle should be your number 1 rule of living.

life with diabetes

Life with Diabetes: It Can Definitely Be Fulfilling with Proper Treatment

Prevalence of diabetes mellitus in high worldwide. The quantity of people suffering from diabetes has increased significantly from 108 mln in 1980 to 422 mln in 2014. It is expected that this number will reach 700 mln in 2025 (Tawanda Chivese, Werfalli Mahmoud, South Africa & USA, 2016).

What is Diabetes? Why Does It Develop?

Diabetes is a disease of a chronic nature. It strikes the human body when the pancreas loses the ability to synthesize a sufficient amount of insulin.

Insulin is a pancreatic protein hormone that provides regulation of carbohydrate metabolism in the body, by the way, bodybuilders use it to gain weight.

Insulin affects blood sugar levels. If diabetes remains uncontrolled, the glucose level rises, hyperglycemia develops, which over time leads to damage to internal organs and systems.

There are two types of diabetes. Type 1 is characterized by poor insulin production. Most likely, this unhealthiness is of a genetic nature and cannot be prevented.

Type 2 disease is different when the body uses insulin incorrectly / inefficiently. Usually this malady is acquired, it develops due to factors such as a sedentary lifestyle and overweight. It develops gradually over a long period of time, unlike type 1 diabetes. Therefore, often some symptoms go unnoticed and the body receives some damage, for example, a man can develop erectile dysfunction (ED). There is good news: this form of the disease can be prevented.

Read more about diabetes-induced erectile dysfunction, how to prevent and treat it.

Medicamentous Treatment of the Disease

Type II of the illness may be treated with the following drugs:

  • Metformin (Glucophage, Glumetza, Obimet, Dianben and other brand names), which lowers glucose formation in the liver and enhances insulin sensitivity.
  • Sulfonylureas. This cohort of medicaments includes glyburide (Glibenclamide), glipizide (Glucotrol, Glucotrol XL, Minodiab), and glimepiride (Glimepiride Accord Healthcare, Vedapride, Ziglim).
  • Meglitinides. They are similar to sulfonylureas but provide faster effect and have shorter half-life. Meglitinide group include repaglinide and nateglinide.
  • Thiazolidinediones. They boost insulin sensitiveness. Thiazolidinedione class comprises rosiglitazone (Avandia, Diaben, Diazan) and pioglitazone (Actos, Apo-Pioglitazone, Glidipion, etc.).
  • Insulin. It may be long-acting (insulin glargine Lantus) and rapid-acting (Humalog by Eli Lilly).
  • Other meds. These include SGLT2 inhibitors, GLP-1 receptor agonists, and DPP-4 inhibitors.

People suffering from type 1 diabetes need lifelong insulin therapy.

A lot of the abovementioned meds (their generic versions) can be easily bought in the Canadian Health Care Mall.

Living with Diabetes

Is it possible to live a full life with diabetes? Doctors believe that this is certainly possible if you (and your relatives) take care of yourself. You have to eat in time, administer insulin correctly (or take antidiabetic pills in time), select an adequate dose, monitor blood sugar, etc. Exercise every day for at least 30 minutes. You should also limit stressful situations, because they are associated with glucose fluctuations in the blood and negative effects on the body, for example, if your work is stressful and you can do nothing about it, you should change the job (employment). Of course, life with diabetes is more difficult than the life of a healthy person. It is associated with constant obstacles and difficulties, but it can be full.

In order to lead the same way of life that was familiar to a patient before the disease, he / she and his / her family members need to learn the basic rules of self-control.

If you learn how to independently assess changes in your condition, regularly determine the level of glucose in the blood, you can achieve very good results.

Although you can live a full life, there are some limitations. The following habits, which may have a negative effect on the body of a diabetic person, should be abandoned:

  • drinking alcohol in high dosages;
  • snacks between the main (carefully planned) meals;
  • skipping scheduled meals;
  • smoking tobacco;
  • use of narcotic drugs.

The abovementioned recommendations mostly concern both diabetics and healthy people. They help to maintain the health of the body and prevent the development of various dangerous diseases (not only diabetes, but also cardiovascular illnesses, gastrointestinal tract conditions, etc.).


Canadian Health Care Gives Information about Pharyngitis

What is Pharyngitis?

Pharyngitis is an inflammation of pharynx mucous tunic. The most common reason of pharyngitis is a virus or bacterial infection which enters an organism during the period of reduce immunity. Virus pharyngitis is passed by droplet spread developing speedily in the places of common flock of people.

There are following kind of pharyngitis including virus, bacterial, allergic, traumatic, mycotic pharyngitis. As to speak about subgroup here we may distinguish acute, subacute and chronic pharyngitis.

*Use Canadian Amoxil to fight a lot of infections.


The symptoms of pharyngitis are simple to be differentiated. They are throat irritation, pain in swallowing, general weakness, rising temperature. After some days pharyngitis may be accomplished to rhinitis overview.


The diagnosis of pharyngitis may be established after the first physical examination and after pharyngoscopy. It is an ordinary procedure to be conducted to establish the diagnosis. This fact concerns all the disease that it is not the way out to self-medicate or to silence the symptoms because it is very important to begin treatment towardly.

For example Canadian Health Care spreads the information about the early treatment which can help to avoid the complications especially in case with chronic disease because our future is dependent on our health. We cannot live without it further more.

To my mind it is most important and reasonable to inform people about epidemic which can damage their health to protect them. In this situation they are able and have time to conduct preventive measures to take immune system under control not to become ill. But unfortunately people are not attentive to the health problems because they begin treating only after they have been already infected. That’ s the problem to which we cannot find a solution, a rational one.


To my mind it is a delinquency of health and care systems of each countries worldwide. The idea is that not only we are responsible for the problems which reach us immediately. Something should be done there on the upper levels namely the representatives of health care systems should work out such a department maybe to take under control medical problems.

Haemoglobin Under Control Together with Canadian Health Care Mall

Canadian Health and Care Mall experts answers

I have suffered from diabetes for twelve years already. Now I take insulin as the main preparation.I am in a constant contact with my consulting physician and attend the hospital every two months. Besides I understand my health depends on my own efforts that’s why I make blood glucose test at home. My last consultation with the doctor has persuaded him that it is not necessary for me to visit him so frequent because my HbA1c was consistently normal .

HbA1c as indicator of Diabetes Control

Is he right making such a decision?

It seems the doctor is sure you are ready to take your diabetes under control. You live together with the disease for a long time that’s why you realize how dangerous the ramifications may be. But sometimes the thought the doctor will be always present in your life may help to become responsible that’s why you may take a deal to meet twice a year. You should understand if something is going wrong you may address the doctor and he will help you immediately.

My treatment lies in the diet only. It is rather difficult to follow the diet and do blood tests at home but I try to do this even before I am going to visit the clinic and my blood glucose test is usually normal. My blood glucose was 4 mmol/L during last analyses results. It turns out the doctor is not satisfied with it because he guesses I do not follow all his recommendations. My HbA1c was too high at 10%.

How is he able to guess?

Out of your story we may come to a conclusion that it seems you do not realize all the seriousness of the disease you suffer from. You cannot even envision how dangerous it is for your life. And the doctor understood it due to your HbA1c. Only constant and strict following of the doctor’s prescriptions may help you to get rid of the severe symptoms.

Less than 5%. Blood glucose test was on average about 5 mmol/litre. The specialist asked me check the data one more time at 2 a.m.

What is the reason of it?

A low HbA1c offer at some stage your blood glucose levels are falling extremely low. If you do not observe hypoglycaemic attacks during the day, then it is rational that they are occurring at night. Doing a test at 3 a.m. you should be able to identify whether this is real or not. This will help you to control the condition of your health because during sleep you may have an attack which influences the general health state.

My doctor prescribes me for diabetes treatment diet and gliclazide tablets. I have lost weight due to the diet but my HbA1c test is still too high at 9% and does not seem to be lowered. Last visit to doctor made me shocked I should make insulin injections.

I am interesting whether the doctor is right or not?

It is a comman fact that people feel panic hearing insulin injections but if your diabetes cannot be taken under control and this is the reason for your weight loss. The only thing which may help you is insulin. Be ready to realize it is the way out in case of having such a disorder.

The Use of Tadalafil for the Treatment of Pulmonary Arterial Hypertension

Tadalafil, which is the main component of Cialis, is used not only for treating male impotence but also for some other health conditions. PAH is one of them.

What is Pulmonary Arterial Hypertension?

Pulmonary arterial hypertension (PAH) is a chronic condition featuring increased resistance in the pulmonary vessels, as well as increased arterial pulmonary pressure. It is worth noting that in recent years, the treatment methods of this disease have significantly improved. Moreover, these methods have become more accessible. However, specialists are faced with numerous difficulties in the treatment of PAH. This disease is hard to treat, cause severe discomfort to individuals, and ultimately is beyond cure. Patients with PAH experience significant increase in the lung vessels’ resistance and elevated pulmonary arterial pressure due to the impairment of the process of blood flow in the lungs. Ultimately, fibrosis of the pulmonary vasculature and even heart failure (in the right ventricle) may occur.

Symptoms and Types of PAH

In most cases, patients suffering from PAH complain of shortness of breath even when doing slight physical activity. In addition, the disease is characterized by the following symptoms: fatigue, angina pectoris, weakness, syncope, swelling of the lower extremities, and accelerated heartbeat. PAH is classified according to the severity of the symptoms, as well as the level of physical activity of the patient.

The classification, formed according to the WHOS’s scheme of functional classification is the following:

  1. Patients, who belong to the 1st WHO Class, are not restricted to have any physical activity. They have no symptoms (fatigue, chest pain, dyspnea or near syncope) while doing general physical exercises;
  2. Patients of the 2nd WHO Class have to follow some insignificant physical activity limitation. They experience slight symptoms during ordinary activity;
  3. Patients, who belong to the 3rd WHO Class have pronounced symptoms while doing slight physical activity;
  4. At last, WHO Class 4 patients suffer from severe symptoms even while carrying out minimal physical activity. Moreover, they suffer from some symptoms even at rest.

How PAH Can be Treated?

Pulmonary hypertension manifests itself differently in different persons. That is why, there is no generally accepted treatment course. Consult your healthcare professional to choose appropriate treatment according to your needs.

Firstly, the doctor should determine the causes of your disease. For instance, you will have to treat emphysema is it is the PAH cause in your occasion.

Most persons want to eliminate their breathing problems, which prevent them from leading an active lifestyle.

If you suffer from the lack of oxygen level and have short breath, you will be prescribed oxygen therapy, which implies breathing pure oxygen with the help of special prongs, which are put into your nose. It will improve your quality of life significantly. In case of the risk of blood clots, you will be advised to take anticoagulant meds. Some medications are aimed at improving the work of patient’s heart and maintaining the necessary level of liquid in the body.

In case of pulmonary hypertension of high severity, you will be probably prescribed meds, which block calcium channels (Ca-antagonists). These medications aimed at lowering pressure of blood in your lungs and other body parts. If calcium antagonists cannot deal with all symptoms, you will be recommended to visit a clinic specialized on treating this medical condition.

There you will get more efficient therapies, including pills or breathe medications, injections etc., aimed at improving your blood vessels’ condition.

According to the WebMD they may be as follows:

  • Tabs: selexipag (Uptravi brand name), tadalafil (Cialis brand name), sildenafil (Revatio brand name), and some others;
  • Inhalers: treprostinil (Tyvaso brand name), Iloprost tromethamine (Ventavis brand name);
  • Injection meds: treprostinil, epoprostenol sodium.

If your health condition is more severe and drugs are helpless at treating the disease, you may be advised to undergo a surgery (lung transplantation), which is also called atrial septostomy. The surgery implies making opening between the patient’s heart sides. However, this procedure can cause serious adverse effects.

How Can Tadalafil Help for PAH?

As you have already seen above, special tablet with tadalafil is available for the treatment of this disease. This tablet is called Adcirca but may also be available under generic name (simply tadalafil).

Tadalafil, which is a PDE5 inhibitor, is administered orally once per day for treating PAH. Doctors recommend patients to include tadalafil in their treatment regimen if they belong to 2nd or 3rd PAH classes according to the WOH classification. Unfortunately, it will be ineffective if the disease has already moved to the fourth stage.

Persons, who follow placebo-controlled treatment, experience increasing of their state of health after physical activity (they improved 6-min distance in the middle tempo and do not feel any discomfort) after taking tadalafil. Moreover, patients say that they feel the overall increasing of their life quality and improved dynamics of blood flow.

Generally, there are light side effects, which can occur during the treatment with tadalafil. The rates of therapy termination are not frequent.

The main characteristics of this drug are the following:

  1. Tadalafil is the only PDE-5i drug for PAH trading, which is taken once in a day. For example, Revatio tablet (sildenafil) should be administered 3 times per day every 4 or 6 hours.
  2. Tadalafil is efficient for exercise ability enhancing.
  3. Tadalafil is completely safe and effective for children.
  4. The most widespread side effects the med can cause are flushing, headache, muscle pain, painful sensations in the different body parts, nausea, congested nose and upset stomach.

According to Adam M. Henrie’s research held in 2015, tadalafil can help to improve quality of life and time to worsening of the symptoms.

Safety Considerations

  • First of all, all your conditions/diseases should be discussed with your doctor for the sake of choosing the most appropriate scheme of treatment.
  • Simultaneous taking of tadalafil and any drug with nitrates (such medications are usually used for chest pain elimination) or stimulators of guanylate cyclase (for instance, Adempas) is prohibited. Such a combination can lead to sudden arterial pressure reduction.
  • In case of being allergic to tadalafil or any component of the pill, do not take this medical remedy.
  • Tell your health care provider about any side effect, in particular chest pain, that is caused by tadalafil.
  • PDE-5i meds can lead to blood vessels’ widening, which subsequently decreases blood pressure. That is why, in case of suffering from heart disease or low arterial pressure, make sure to tell your healthcare professional about it. The conditions above may be deteriorated under the tadalafil action.
  • The drug isn’t advised for those persons, who have pulmonary veno-occlusive disease (blockage in lungs veins).
  • In case of combining with alcoholic drinks as well as with antihypertension meds (for example, α-blockers), tadalafil can lead to arterial pressure lowering & hypotension.

ED – the Main Field of Tadalafil Use

PAH is a severe illness but it is relatively rare. Tadalafil (its brand name is Cialis) is used to treat erectile dysfunction (ED) in males more often. While getting into the body of a man, the main active substance of Cialis causes a whole chain of processes that lead to active blood filling of the penis. As a result, relaxation of the cavernous bodies of the genital organ is observed under the action of the drug. The widening of the blood vessels occurs, which leads to an active inflow of blood to the genital area. Many male persons suffering from erectile problems of varying severity prefer Cialis. Thanks to many advantages, this medication takes one of the leading positions in its segment.

Here are main advantages of the drug:

  • it has high efficiency;
  • it can be taken daily or on demand;
  • it is well-tolerated by the body, side effects occur rarely;
  • it can be used for a long time without causing addiction;
  • it works quickly (about half an hour after administration);
  • it is compatible with any food and alcohol (in moderate dosages);
  • it has a long-lasting effect (up to thirty-six hours, which is its topmost advantage).

The main disadvantage of Cialis is its high cost. But if you choose the generic Cialis at the Canadian pharmacy, the price will please you nicely. At the same time, its effectiveness is not lower than that of the original drug. This is due to the fact that it is manufactured by generic drugmakers who simply use the tadalafil formula invented by Eli Lilly (the original developer).

Other medications for the treatment of erection problems include Viagra, Levitra, and Stendra.

Diabetes and Overweight

Treatment Diabetes and Overweight

I suffer from obesity and do my best to lose about 25 kg. I love sweats, ice cream I like everything what contains non dairy fats. May I lose the weight keeping such a lifestyle?


You can include a little bit of ice-cream in your diet plan. Non dairy fats mean that the manufacturers have used vegetable fats, which contain just as many calories as milk fat. Most ice cream has about ten per cent fat and around eighty to one hundred calories per portion. You may buy ice-cream of lesser calories but it is more expensive in comparison with other types of ice cream. In such a way you should decide whether the game is worth the candle. I have heard that there is a new pills for appetite decrease on the market but is it suitable for people with diabetes?


It is important to know that both appetite lowering drugs are now no longer available. Now we are going to know more about these drugs.

  • Rimonabant gained license for been used in the UK in 2006 and was sufficient in losing weight. But there was so many side effects including depression that is why it was discontinued in 2008.
  • Sibutramine (Reductil) could be taken by all kind of people except the patients with heart diseases or hypertension. In January 2010, the government claimed that Sibutramine should no longer be used because of severe side effects.

Treatment weight loss and diabetes in Canadian health care mall –


A further drug suitable for use in diabetes is orlistat (Xenical). The key element is that in the stomach and small intestinal canal the fat from food is digested. This loss of fat is calories loss and therefore can become a result of weight loss. It is reasonable that a low fat diet is followed to lessen side effects. If you test this method of weight loss, it is advised that you may use of helpline to be answered the questions.

That’s a petty that two preparations for weight loss have been taken out from sellings. But there is one opportunity to take them but only in case of ineffectiveness of other drugs for diabetes treatment.


Headache Treatment with My Canadian Pharmacy

General Information

Headache is one of the most spread medical problem because each man on the Earth even once was suffering from this disorder. Sometimes people live with headache, someone doesn’t know exactly what it is to suffer from headache. Headache may be a chronic one but it doesn’t mean this disease is a warning of some other severe complications. But you should be attentive because the character of headache may change absolutely and  in this case you’d better consult the doctor and undergo the medical screening.

Health is not a vital substance which can be easily restored.


There are different types of headache:

Importance of Free Health Care

People are not eager to attend outpatient hospitals because not all services are free so they believe they will spend too much money there. That is the main reason why they prefer to endure the pain than to consult the doctor.

But for example, Canadian Health Care provides their citizens with the free service in each hospital. They believe it is the only way out to support their citizens and let them believe in the country they live in and in the government they can trust.

Even headache may be manifested in the severe disorder which should be treated immediately that’s way the medical service should be free for all categories of people. Of course, there are private health care facilities with some amount of charged services but the price should not be so awfully high.


First of all, you have to know the type of your pain.  There are a lot of drugs which can help you. And they have different active substance and effect depending on the certain type of headache.

There are such drugs as:

If you do not want to take drugs to relieve the pain you’d better to lay down and sleep. Sometimes headache is caused by the overwork when we oversell our abilities. The rapid tempo of living nowadays makes us be in a hurry every time, it seems we are sleeping also hurrying but nowhere. We forget what it is to have rest, we are all the time in motion and have no time to relax that’s why we feel uncomfortable and suffer from headache.


Things to Know About Ulcer at Children

General Information

The ulcer is known in scientific literature as peptic ulcer disease. This chronic disease which passes with relapses is shown by existence of ulcerous defect in mucous membrane of stomach and/or duodenum.

Also during the disease other organs of gastrointestinal tract suffer therefore symptoms can be various. The illness alternates aggravations and remissions. Most often girls suffer from ulcer but male persons are more subject to the combined ulcers. Most often girls suffer from ulcer but male persons are more subject to the combined ulcers


Children can have an uncomplicated peptic ulcer disease or with complications.

Among complications the most widespread are:

Acidity of gastric contents and condition of motor function can be normal, raised or lowered.

There may be allocated clinic endoscopic stages beginning with the first till the fourth.

  1. The first stage is recent ulcer.
  2. At the second stage begins epithelization of ulcerous defect during which the pink hem is formed.
  3. At the third stage the ulcerous defect is healed at the expressed gastroduodenitis.
  4. At the last stage there is clinic endoscopic remission.


Peptic ulcer disease is provoked by such alimentary factors:

  • excessive use greasy,
  • spicy,
  • fried, rough food,
  • the use of too high volume of food because of which the stomach stretches that, in turn, stimulates secretion,
  • nonsystematic meals, big breaks between them.

The infectious factor is Helicobacter pylori infection. This bacterium causes local and general immune reactions that provoke damage of fabrics to the infection center.

There are the following reasons of the second appearance of ulcer:


The best method of treatment is to attend a doctor and undergo medical screening. First of all, if the diagnosis is proved by a doctor you may work out a treatment plan which help you to overcome this health problem.

All the diseases should be treated immediately that’s why the time comes to be examined by a professional.

Canadian HealthCare Mall will become your teammate. It is a pharmaceutical company which is ready to ship different kinds of drugs necessary for treatment of any disorder you suffer from.